Inspection on 09/10/06 for 8 Blunt Street

This inspection was carried out on 9th October 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

8 Blunt Street 01/10/08

8 Blunt Street 05/01/06

8 Blunt Street 08/08/05

8 Blunt Street 14/02/05

8 Blunt Street 02/06/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 Blunt Street (8) Stanley Common Ilkeston Derbyshire DE7 6FZ Lead Inspector Anthony Barker Unannounced Inspection 9th October 2006 09:50 Blunt Street (8) DS0000019940.V315694.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Blunt Street (8) DS0000019940.V315694.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Blunt Street (8) DS0000019940.V315694.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Blunt Street (8) Address Stanley Common Ilkeston Derbyshire DE7 6FZ 0115 9323494 0115 9323494 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) None United Response Christine Coates Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Blunt Street (8) DS0000019940.V315694.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th January 2006 Brief Description of the Service: 8 Blunt Street is a semi-detached house in a small village development. Service users are provided with adequate accommodation and single rooms. There is a rear garden. The Home offers personal and social care to people with a severe learning disability with associated conditions that include autism and sensory disability. Activities are planned to meet individual needs. The fees currently range from £1300 to £1500 per week. Blunt Street (8) DS0000019940.V315694.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The time spent on this inspection was 6.5 hours and was a key unannounced inspection. The service users had high levels of dependency and therefore were not able to contribute directly to the inspection process, though they were observed working with and being cared for by staff. The Manager was spoken to and records were inspected. There was also a tour of the premises. One service user was case tracked so as to determine the quality of service from his perspective. This inspection focussed on all the key standards and on the progress made towards achieving the requirements and recommendations made at the last inspection. The pre-inspection questionnaire was reviewed prior to this inspection. What the service does well: What has improved since the last inspection? What they could do better: Improvements must be made to the recording of medicines administered to service users. The Home’s Statement of Purpose should be personalised to 8 Blunt Street (8) DS0000019940.V315694.R01.S.doc Version 5.2 Page 6 Blunt Street and be amended to reflect the environmental standards. Each service user’s Individual Charter should be fully completed. 50 of staff should achieve a National Vocational Qualification (NVQ) to level 2. Monthly independent audit visits to the Home on behalf of the Registered Provider should take place. The Home’s five-year Electrical Wiring Certificate should be renewed. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Blunt Street (8) DS0000019940.V315694.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Blunt Street (8) DS0000019940.V315694.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2 & 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Full information about the Home was not available in order for prospective service users and their families to make an informed choice about where to live. Current service users were also not benefiting from this information. Their individual contracts with United Response were not complete or up to date. EVIDENCE: The Home’s Statement of Purpose had still not been personalised to the Home or amended to address environmental standards. The Manager explained that the document was at United Response’s Area Office awaiting review. A list of the Home’s Aims was examined and the Manager said this would be incorporated into the Statement pf Purpose after associated objectives were added. The three service users have lived in this Home for several years. A full assessment of both service users’ needs was made prior to their admission, as confirmed by detailed examination of care records at a previous inspection. An ‘Individual Charter’, between United Response and each service user, were in place. However, these had still not been fully completed, or updated. Blunt Street (8) DS0000019940.V315694.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users were benefiting from a care planning system that reflected their changing needs. They were making decisions about their lives, with assistance, and were being supported to take risks to improve their independence. EVIDENCE: The case tracked service user’s care file was examined. Appropriate goals for his care were found in documents called ‘Behaviour Support Plan’, ‘Care Plan’ and ‘Risk Assessment’. The recently reviewed ‘Behaviour Support Plan’ was a useful explanatory document although the service user’s behaviour and goals were recorded together such that the goals did not stand out. Two ‘Care Plans’ were dated March 2002 and May 2004 and needed to be brought up to date. Daily logs were in place. Monthly Summary Sheets, that summarise daily logs, were being used as a basis for periodic reviews. The Manager stated that staff know what is required of them but much of this was in their heads. She agreed that a review of the care plan recording structure would be beneficial in order to make existing practice more explicit. Blunt Street (8) DS0000019940.V315694.R01.S.doc Version 5.2 Page 10 The Manager described ways in which staff encourage the service users to make decisions. She spoke of the case tracked service user recently choosing a bedroom chair and wardrobe, with staff help. All three service users, she said, were capable of choosing their own clothes – to wear daily and to buy – although some prompting was necessary. Makaton symbols were seen on drawers and wardrobes in service users’ bedrooms which helped them to decide where to keep their clothes. The Manager stated that staff have come to know, from service users’ behaviour, when they do or don’t want to undertake a particular activity and she gave examples of such behaviour. As mentioned, recorded risk assessments were in place to address the particular risks that individual service users were exposed to. The Manager described examples of how service users were enabled to take responsible risks such as going to a new restaurant or sports hall. She also spoke of how new staff were supported when they first accompany a service user into the community. She pointed out that building confidence in staff led to increased confidence in service users. Blunt Street (8) DS0000019940.V315694.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users were involved in fulfilling and age-appropriate activities within the Home and in the local community. They were able to maintain appropriate family relationships and were provided with a healthy personalised diet. Daily routines reflected their individual choice and promoted independence. EVIDENCE: One service user was attending college for four days a week, undertaking a life skills course, and staff were finding he valued this activity and his speech had improved. He had also enjoyed a three day camping trip with support staff from his college. He had been involved in United Response’s recent manager interviews – for which he was paid. The other two service users were receiving day care from the Home’s staff. The Manager described hourly sessions of ‘Intensive Interaction’, run by Social Services, that addressed these service users’ autistic behaviour in a visual and auditory stimulating environment. Blunt Street (8) DS0000019940.V315694.R01.S.doc Version 5.2 Page 12 Service users were well known at local shops, the Manager said. One made regular trips to Derby to buy culturally appropriate food. Two were attending a local church and staff concluded that they enjoy the ‘sense of occasion’, including getting ‘dressed up’. One service user was using an athletics race track in Ilkeston, on the day of this inspection. This activity was recorded on a white board displayed on the dining room wall. All the service users attend public swimming sessions at the local pool as well as segregated sessions with other younger adults with learning disabilities in a Derby pool. The Manager commented that the staff team were eager to introduce service users to more community-based activities. Contact between one service user and his family had always been frequent – with twice weekly visits to his sister. Family contact for the other two service users had improved since the last inspection. The Manager described how one service user had become excited by this contact, which had included a meal out. Staff were encouraging the improved relationships with the other service user’s family by sending a DVD of him, involved in activities, to his mother. It was clear from discussion with the Manager that daily routines were being used by staff to promote service users’ independence. For example, they stripped their beds in the morning, folded their laundered clothes, got themselves a hot drink and, to varying extents, were involved in ironing and loading/unloading the dishwasher. Staff were observed to knock on bedroom doors. One service user was provided with a key to his bedroom door but this was withdrawn following inappropriate use of the key. The Manager gave examples of service users choosing when to be alone in their bedroom. The sample menu supplied with the pre-inspection questionnaire indicated that a nutritious and balanced diet was being provided. The Manager said these menus were seasonally adjusted. Regular takeaway meals were an established feature. The kitchen and larder was well stocked and fresh fruit and potatoes were seen. Appropriate food hygiene practices were noted around the kitchen. Blunt Street (8) DS0000019940.V315694.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users were receiving personal support in the way they preferred. Their health needs were being met although they were not always being protected by the Home’s procedures for dealing with medicines. EVIDENCE: The Manager confirmed that service users were choosing their own clothes and staff offered support, when necessary, regarding personal hygiene. The case tracked service user’s care plan was seen to comprehensively address this area. Service users were being supported to use the personal space of their bedrooms and, in this context, the Manager gave examples that showed that their dignity and privacy needs were being met. There was no therapist involvement at the time of this inspection although one service user had input from a psychologist 12 months previously. The Manager explained that a request for speech therapy was currently being made. There were no technical aids or equipment in the Home and the Manager said this reflected service users’ needs. There was diversity of cultural background within the staff group and this benefited service users, particularly one from a minority ethnic group. Service users also benefited from designated key workers within the staff group and from co-key workers who worked other shifts. The Manager said she was looking to replace the advocate for one service user. She felt he was Blunt Street (8) DS0000019940.V315694.R01.S.doc Version 5.2 Page 14 more able than the others to benefit from an advocate. Positive and sensitive interaction between staff and service users was observed during this inspection. There was evidence of service users’ health and medication being monitored and appropriate use being made of community health resources. All three service users were attending the Well Man Clinic at the local heath centre as well as having appointments with a dentist and district nurse, as necessary. It was noted that the Manager was recording these health contacts on one document in order to make it easier to monitor this process. Periodic visits were being made to the case tracked service user by a psychiatrist in order to review his medication. A monitored dosage system of medication was in use and medicines were being stored securely. Medication records were read and found to be satisfactory except for a period of one week in mid September 2006. During this period there was evidence of two items of medication being signed by staff, each day, as being administered but the medication had not been administered and was not needed to be at that time of day. There was no record of staff signatures and initials so it was not always clear whether an entry on the medication records was staff initials or a code. The only medication administered on a ‘as and when required’ basis was for pain. No controlled drugs were prescribed. It was noted that the local pharmacist was providing annual staff training and undertaking a quality audit every six months. United Response was also providing staff with training on the use of medicines. Blunt Street (8) DS0000019940.V315694.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users were benefiting from the Home’s complaints policy and procedures and were being protected from abuse. EVIDENCE: The Home’s complaints procedure was displayed in the ground floor office. It was still not in an appropriate format for services users to read or be guided through. The Manager spoke about providing a pictorial representation of the procedure to enable service users to understand it. There had been no complaints made about the service within the previous 12 months. The last complaint received was from neighbours concerned about the parking of staff cars. The front lawns of this, and the adjoining, Home had been covered in tarmac to address this complaint. It was noted that the Home was not using a specific form on which to record complaints. This would ensure that all relevant information was recorded. The Home’s Complaints Procedure was satisfactory as was its Whistle Blowing Policy. The Manager said all staff had been provided with training in Safeguarding Adults (Adult Protection) – except two newly appointed staff - in order to ensure their understanding of adult abuse and its risk management. Blunt Street (8) DS0000019940.V315694.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users were living in a homely and safe environment that was clean and hygienic. EVIDENCE: Further efforts had been made, since the previous inspection, to make the Home’s environment look more homely. Furnishings and floor coverings were to a good standard. The hall, landing and one bedroom had been redecorated since the last inspection. The colour scheme in this bedroom had been chosen by the service user, the Manager stated, and curtains and pictures had been hung. Another bedroom was seen to be well personalised. The service users appeared to enjoy ‘showing off’ their bedrooms to the Inspector. The Manager explained that service users’ behaviour had continued to improve and this had meant that more pictures could be displayed on the walls of the lounge and dining room without having to screw them down. These pictures had been chosen by the service users, the Manager explained. Curtains had also been hung on the windows. A gazebo had been provided in the rear garden. The painted bathroom walls had deteriorated and there was no curtain or blind in the ground floor toilet. Blunt Street (8) DS0000019940.V315694.R01.S.doc Version 5.2 Page 17 During a tour of the premises the Home was found to be clean and hygienic with no unpleasant odours. The washing machine in the laundry room had a sluicing programme and the Manager described good practice regarding the transportation of soiled materials such as wet bedding. However, there was no policy to address this matter within the Home’s written risk assessment on ‘Cleaning and Hygiene’. Blunt Street (8) DS0000019940.V315694.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 & 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users were being supported by a well-trained and supervised staff group. They were also protected by the Home’s recruitment procedures. EVIDENCE: Three of the eight care staff had achieved a National Vocational Qualification (NVQ) to level 2. This was still short of the requirement to maintain a staff group with at least 50 qualified staff. The Manager commented that another staff member was approaching completion of this qualification. The file of a member of care staff appointed in April 2006 was examined. It was found to contain all elements, required by current Regulations, regarding recruitment practices. The Induction Training Booklet of this newly appointed member of staff showed evidence of induction training to Learning Disability Award Framework (LDAF) standards, as required by Standard 35. Training records showed that all staff having been provided with all mandatory training. Blunt Street (8) DS0000019940.V315694.R01.S.doc Version 5.2 Page 19 The Manager confirmed that the Home was on target to achieve six staff supervision sessions – as required by Standard 36 - by the year end. She added that staff would receive an appraisal within this timescale. Blunt Street (8) DS0000019940.V315694.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users were benefiting from a well run home and their health and safety was generally being fully promoted. They were not benefiting from an effective quality assurance system. EVIDENCE: The Manager had achieved a NVQ in Care and Management at level 4 and had been in this post for three years. She had worked with people with learning disabilities for 19 years. She spoke of being involved in United Response’s Leadership Management Development Programme – comprising monthly conference calls. Monthly independent audit visits to the Home on behalf of the Registered Provider, as required by Regulation 26, were not taking place. The Manager said that the last monthly audit was in July 2006 and that United Response was only planning an independent audit every year. The Home’s annual plan Blunt Street (8) DS0000019940.V315694.R01.S.doc Version 5.2 Page 21 was examined. This had useful objectives but still had no target dates. No quality assurance questionnaires were in use, in order to assess opinions on the quality of service provided by the Home. There was discussion with the Manager on potential target groups to whom questionnaires could be sent: staff, relatives and external professionals. The pre-inspection questionnaire, completed by the Manager, indicated that equipment in the Home was being maintained and good Health and Safety practices followed. However, the Home’s five-year Electrical Wiring Certificate was dated November 2000 and was therefore out of date. Fire alarm tests and fire drills were being carried out weekly and night drills each six months. Good food hygiene practices were being followed. There was a good system of monthly Health and Safety checks and the documentation from these was examined. Blunt Street (8) DS0000019940.V315694.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X X 3 X Blunt Street (8) DS0000019940.V315694.R01.S.doc Version 5.2 Page 23 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA20 Regulation 13(2) Requirement Staff initials on medicine records must always reflect the actual administration of an item of medication. Timescale for action 01/11/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard YA1 YA1 Good Practice Recommendations A Statement of Purpose that is personalised to 8 Blunt Street should be made available. (This was a previous requirement). The statement of purpose should be amended to reflect the revised environmental standards. A copy of the statement of purpose should be retained at the Home at all times. (This was a previous requirement). Each service user’s Individual Charter should be fully completed. (This was a previous requirement). Care planning documents should separately record goals. A review of the care plan recording structure would be beneficial in order to make existing practice more explicit. A record of staff signatures and initials should be provided. Consideration should be given to the display of some core policies and procedures in a form more understandable to DS0000019940.V315694.R01.S.doc Version 5.2 Page 24 3. 4. 5. 6. 7. YA5 YA6 YA6 YA20 YA22 Blunt Street (8) 8. 9. 10. 11. 12. 13. 14. 15. YA22 YA24 YA30 YA32 YA39 YA39 YA39 YA42 service users and that is domestically acceptable. (This recommendation was from an inspection dated 08/08/05) A specific form should be used on which to record complaints. The bathroom walls should be redecorated and curtains or a blind should be provided in the ground floor toilet. The transportation of soiled materials such as wet bedding should be addressed within the Home’s written risk assessment on ‘Cleaning and Hygiene’. 50 of staff should achieve a National Vocational Qualification (NVQ) to level 2. (This was a previous requirement) Monthly independent audit visits to the Home on behalf of the Registered Provider, as required by Regulation 26, should take place. The Home’s annual plan should include target dates. (This was a previous recommendation) Quality assurance questionnaires should be considered. The Home’s five-year Electrical Wiring Certificate should be renewed. Blunt Street (8) DS0000019940.V315694.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Blunt Street (8) DS0000019940.V315694.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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